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360° Resilience : A Guide to Prepare the Caribbean for a New Generation of Shocks – Health Systems Resilience in the Caribbean (English)

This paper aims to analyze health system resilience (HSR) capacities in the Caribbean and suggests priority actions for strengthening. As there has been limited guidance to date on assessing HSR in the Caribbean, the specific objectives for this paper are to develop and apply a conceptual framework for HSR and to categorize HSR capacities in the region. The presented conceptual framework, which aims to align the World Health Organization’s (WHO’s) six building blocks of a health system to previously identified HSR capacities (that is, absorptive, adaptive, and transformative capacities) was applied to analyze selected historical health system responses to shocks in the region. Additionally, the conceptual framework was used to develop a traffic light system for classifying national HSR capacity. This analysis should provide guidance to policymakers and other health sector stakeholders on assessing national HSR capacities, as well as provide targets for strengthening HSR capacities in the Caribbean. This paper will focus mainly on 13 Caribbean countries, which were selected based on the ease of information availability and accessibility. Section one gives introduction. Section two presents health outcomes, health systems, and vulnerability to shocks. Section three presents health system resilience conceptual framework. Section four details HSR experiences in the Caribbean. Section five presents assessing HSR in the Caribbean. Section six gives categorizing national HSR capacity: the traffic light system and priority recommendations.


  • Author

    Khan,Alyssa Safiya, Harnam,Neesha

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    Working Paper

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  • Region

    Latin America & Caribbean,

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  • Doc Name

    360° Resilience : A Guide to Prepare the Caribbean for a New Generation of Shocks – Health Systems Resilience in the Caribbean

  • Keywords

    health systems; under 5 mortality rate; public health; global health; natural disaster; climate-related shock; effect of climate change; disease outbreak; intensity of disease outbreaks; life expectancy at birth; response to climate change; demand for health services; global burden of disease; Below the Poverty Line; primary health care services; Disaster Response and Recovery; small island developing states; leading cause of death; conceptual framework; disaster risk management; vulnerability to shock; traffic light system; damage to infrastructure; chronic health problems; rising sea levels; access to health-care; vital registration system; post-traumatic stress disorder; health system response; delivering health services; demand for treatment; national health service; health capacity; international response; medical benefit; public health service; outbreaks of leptospirosis; extreme weather event; quality of house; nurses and midwives; quality of employment; inequity in health; quality employment; point of care; essential health services; health care access; national population health; maternal mortality rate; infant mortality rate; high income inequality; mandatory insurance scheme; education and health; national health authority; private health insurance; public health crisis; effects of shocks; impact of hurricanes; essential health care; Catastrophe Risk Insurance; personal protective equipment; regional environmental change; acquired immunodeficiency syndrome; demand for service; spread of virus; direct economic impact; resources and capacity; severe weather events; access to care; Human Immunodeficiency Virus; national health system; electricity distribution system; environmental health risk; death from disease; infectious disease outbreak; climate change vulnerability; impact of shock; natural disaster risk; supply chain; increased demand; adaptive capacity; caribbean island; public hospital; health outcome; health workforce; external shock; natural hazard; need assessment; absorptive capacity; pool resource; health facility; health consequence; high-risk group; pharmaceutical procurement; critical infrastructure; power outage; Health Workers; poor health; chronic stress; medical supply; disaster medicine; small states; medical product; operational framework; pocket payment; national risk; rapid access; hospital bed; emergency response; acute care; health field; zoonotic disease; flood water; vaccine-preventable disease; common hazard; high vulnerability; climate condition; Social Sciences; aedes mosquito; viral disease; increase poverty; treatment outcomes; health security; core functions; national academy; Armed Conflict; housing condition; fact sheet; small population; literature review; cancer screening; aggregate index; damage equivalent; health finance; external fund; Tobacco Control; limited resources; service coverage; hurricane season; health products; transportation service; financial constraint; regional mechanism; health issue; adaptation strategy; health equipment; governmental organisation; delivery infrastructure; emergency need; respiratory infection; animal host; positive correlation; household size; systematic analysis; aids mortality; gender disparity; indirect impact; sewage system; tropical medicine; human transmission; vaccine coverage; diarrheal disease; in poverty; national poverty; basic healthcare; political unrest; water treatment; hospital equipment; psychological distress; kidney dialysis; heat exposure; fuel shortage; institutional framework; medical equipment; essential supplies; need partnership; dedicated research; geographic boundaries; information availability; mortality surveillance; surveillance system; health emergency; primary focus; effective risk; geographic scope; vital statistic; health status; health situation; warning system; integrated risk; adequate supply; Health policies; health teams; risk profile; public system; government revenue; workforce skill; livelihood support



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Khan,Alyssa Safiya Harnam,Neesha

360° Resilience : A Guide to Prepare the Caribbean for a New Generation of Shocks – Health Systems Resilience in the Caribbean (English). Washington, D.C. : World Bank Group.